Organization
GREGORY M STIRNEMAN DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLESA LASITER (OFFICE MANAGER)
(903) 586-7979
Entity
Organization
Contact information
Practice address
2011 S JACKSON ST, JACKSONVILLE, TX 75766-5821
(903) 586-7979
(903) 589-0487
Mailing address
2011 S JACKSON ST, JACKSONVILLE, TX 75766-5821
(903) 586-7979
(903) 589-0487
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1312
TX
Other
Enumeration date
12/21/2007
Last updated
12/26/2012
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